MEDICARE: QOFL SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1942554837
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QOFL SERVICES LLC

Provider Business Mailing Address
First Line	:	4350 BROWNSBORO RD STE 210
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-1681
Country	:	US
Telephone Number	:	502-579-1797
Fax Number	:	502-996-8282

Provider Business Practice Location Address
First Line	:	4350 BROWNSBORO RD STE 210
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-1681
Country	:	US
Telephone Number	:	502-244-2420
Fax Number	:	502-996-8282

Authorized Official
Title or Position	:	VP OF REVENUE ASSURANCE
Name	:	JOY L STEVENS
Credential	:
Telephone Number	:	502-244-2441

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	05/05/2026

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Directions to “QOFL SERVICES LLC ” Practice Location

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